When is the best time for the neonatal intensive care unit (NICU) nurse to initiate an individualized stimulation program for the preterm newborn?
a. As soon as possible after newborn is born
b. As soon as parent is available to provide stimulation
c. When newborn is over 38 weeks of gestation
d. When developmental organization and stability are sufficient
ANS: D
Newborn stimulation is essential for growth and development. The appropriate time for the introduction of an individualized program is when developmental organization and stability are achieved at approximately 34 and 36 weeks of gestation. The newborn needs to be developmentally ready for a stimulation program. The newborn must be assessed to determine the readiness and appropriateness of the stimulation program. The program should be designed and implemented by the nursing staff. The family can be involved, as the nurses help teach the parents to be responsive to the child's cues, but the stimulation should not depend on the family's availability. An individualized stimulation program should be started when the child is developmentally ready.
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